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Rubella, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Also known as German measles or 3–day measles

  • Transmission via droplets from respiratory secretions

  • Moderately contagious:

    • Especially during rash eruption and infants with congenital ru...

Diagnosis

Signs and Symptoms

  • Acute viral disease

  • Complications:

    • Uncommon, tend to occur more in adults

    • CRS: Infected women in 1st trimester (hearing loss, mental retardation, cardiovascular defect, ocular...

Treatment

Pre-Hospital

Use N95 filter mask for potential respiratory transmission. 

Initial Stabilization/Therapy

ABC management 

Ed Treatment/Procedures

  • Symptomatic therapy

  • Antipyretics and anti-inflammato...

Follow-Up

Disposition

Admission Criteria

  • CRS

  • Encephalitis

Discharge Criteria

  • Most patients may go home.

  • Inquire regarding vaccination status of family members.

Issues for Referral

  • Potential exposure or diseas...

Pearls and Pitfalls

  • Current literature does not support a causal relationship between childhood vaccination with thimerosal-containing vaccines and development of autism-spectrum disorders.

  • Infected in...

Additional Reading

  • American Academy of Pediatrics. Report of the Committee on Infectious Diseases. 29th ed. Elk Grove, IL: American Academy of Pediatrics; 2012.

  • Banatvala  JE, Brown  DW. Rubella. Lan...

Codes

ICD9

  • 056.9 Rubella without mention of complication

  • 647.50 Rubella in the mother, unspecified as to episode of care or not applicable

  • 771.0 Congenital rubella

  • 056.71 Arthritis due to rubella

  • 056.00 Ru...

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